DEPARTMENT OF THE NAVY - Navy Medicine

DEPARTMENT OF THE NAVY

BUREAU OF MEDICINE AND SURGERY 7700 ARLINGTON BOULEVARD FALLS CHURCH VA 22042

Canc: Jul 2020

IN REPLY REFER TO

BUMEDNOTE 1524 BUMED-M7 12 Jul 2019

BUMED NOTICE 1524

From: Chief, Bureau of Medicine and Surgery

Subj: 2019 JOINT SERVICE GRADUATE MEDICAL EDUCATION SELECTION BOARD APPLICATION PROCEDURES

Ref: (a) BUMEDINST 1520.42 (b) SECNAVINST 1520.11B (c) OPNAVINST 7220.17 (d) DoD Instruction 6000.13 of 30 December 2015 (e) BUMEDINST 1524.1C

Encl: (1) Application Process (2) Required Documents Checklist (3) Graduate Medical Education Post-Graduate Year 1 Selection Goals (4) Graduate Medical Education Full-Time In Service Selection Goals (5) Full-Time Out Service and Other Federal Institution Selection Goals (6) Commanding Officer Endorsement Format: Applicants Applying for Residency or Fellowship Template (7) Commanding Officer Endorsement Format: Medical Students Applying from Uniformed Services University of the Health Sciences Post-Graduate Year 1 Applicants Template

1. Purpose. To announce application procedures for academic year (AY) 2020 Navy-sponsored graduate medical education (GME) per references (a) through (e).

2. Scope and Applicability. This notice applies to ships and stations having medical department personnel, Health Professions Scholarship Program (HPSP) students, Health Services Collegiate Program (HSCP) students, Uniformed Services University of the Health Sciences (USUHS) students, and GME trainees in Navy Active Duty Delay for Specialists (NADDS) and Full-Time Out Service (FTOS) programs.

3. Background. The Navy GME office at Navy Medicine Professional Development Center manages Navy GME application processes and Joint Service GME Selection Board (JSGMESB) planning for Navy Medicine (NAVMED). The Navy GME selection board will be held Monday, 18 November 2019 through Friday, 22 November 2019.

4. Important Dates

BUMEDNOTE 1524 12 Jul 2019

9 July 2019

- Navy GME Application Web Site, Medical Operational Data System (MODS) opens:

- Paper applications will be e-mailed to post-graduate year (PGY) 1 applicants.

30 August 2019

- Deadline to create and submit a new GME application. New applications will not be accepted after this date. Modifications can be made to existing submitted GME applications through 15 October 2019.

- Flight surgery (FS) and undersea medicine officer (UMO) applicants refer to reference (a) for FS and UMO application procedures and deadlines.

15 October 2019

- Deadline to submit required GME supporting documents and interviews.

- Deadline to make application modifications.

28 October 2019 - JSGMESB Tri-Service scoring begins.

18 November 2019 - JSGMESB Service Specific Selection Board convenes.

11 December 2019 - JSGMESB results released.

10 January 2020 - Training acceptance deadline for resident and fellow selectees.

5. Training Eligibility. Navy Personnel Command (PERS-4415) determines GME selection eligibility. PERS-4415 screens all applicants and ensures applicants meet requirements for Navy or Department of Defense (DoD) tour-length requirements, promotion, transfer, and compliance with physical readiness. First tour FS, UMO, and general medical officer (GMO) applicants should have completed or be able to complete a utilization tour (24 months) prior to residency to be eligible for GME training.

a. Applicants must have passed their physical fitness assessment (PFA) within the last 18 months. Applications with a PFA failure will be flagged for review by PERS-4415 and specialty leader.

b. Applicants in a failure of selection status, with a rank of lieutenant commander (O-4) and above who will be able to meet obligated service requirements to complete a utilization tour after the completion of GME training as determined by Navy Personnel Command, may be considered for primary selection on a case-by-case basis.

c. Specialty leaders for applicants who have been deemed ineligible by Navy Personnel Command for factors such as time on stations, projected rotation date (PRD), or DoD tour requirements will be notified by the Navy GME office. The specialty leader will notify

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applicants of these factors. Medical student applicants must be screened by their respective program managers (HPSP, HSCP, and USUHS). Program managers must provide Navy GME Director a weekly report of waiver status and student deemed ineligible for factors such as medical and academic issues.

d. Civilian physicians and Reserve medical officers may be considered for Navy GME training. Civilian applicants must meet all requirements for initial appointment to active duty as a Medical Corps officer and be approved for commissioning prior to applying to the JSGMESB. Civilian applicants must contact the Medical Corps career planner, at telephone number (703) 681-8937, prior to submitting an application for Navy-sponsored GME training. Reserve officers must be eligible and be approved by PERS-9 for recall to active duty in the Navy Medical Corps prior to submitting an application for Navy-sponsored GME. Reserve applicants must have a letter of conditional release submitted to the Navy GME Office via e-mail, usn.bethesda.navmedprodevctrmd.list.nmpdc-gme-sb@mail.mil, by 25 October 2019. Selection of civilians and Reserve medical officers is contingent upon manning needs and availability of training positions after all qualified active duty applicants have been placed.

e. All applicants desiring deferment, continued deferment, extension of current program length, or Navy sponsorship in FTOS and other federal institution programs must first apply to the JSGMESB. Applicants may have preliminary discussions, but are not authorized to commit to civilian or other federal institution programs unless selected as a primary select by the JSGMESB and approved by Chief, Bureau of Medicine and Surgery (BUMED).

f. PERS-4415 is responsible for writing orders to GME training. Submit requests for report date changes to the Navy GME office with a letter from the applicant's commanding officer authorizing a billet gap (as appropriate) and release prior to the applicant's established PRD. The Navy GME office will route the request to the specialty leader and program director for recommendation and to PERS-4415 for final determination. Orders to training written and funded by Navy Personnel Command will not be modified except to support operational missions and requirements.

g. Navy-sponsored HPSP, HSCP, and USUHS contractual agreements require that Navysponsored medical students apply to Navy GME office for their preliminary year of GME training.

h. FS and UMO applicants must not use the Navy GME application Web site to apply for these training programs. Reference (a) provides information regarding FS and UMO training and application procedures. Individuals applying for a fellowship in hyperbaric medicine must use the Navy GME application Web site.

6. Availability of Programs. The AY-20 Medical Corps Training Plan, approved by Chief, BUMED, determines GME billet availability.

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a. Current 1-year delay trainees are eligible to apply for continued deferment in the NADDS, FTOS, other federal institution, and Full-Time In Service (FTIS) programs. One-year delay trainees previously approved for full deferment do not have to re-apply to the 2019 JSGMESB and are authorized to apply to civilian programs for continued deferment in the specialty previously selected by the JSGMESB. Trainees who match to continued civilian training must notify the Navy GME Office of their selection prior to signing training contracts with the civilian institution.

b. FTIS training opportunities are competitive and HPSP and HSCP students are not guaranteed in service training positions. Some HPSP and HSCP students may be deferred or selected to a 1-year delay in the NADDS program to complete their preliminary year. Therefore, every HPSP and HSCP student must have a back-up plan to train in a civilian institution in the event they are selected by the JSGMESB to the NADDS program or for a 1-year delay. HPSP and HSCP students are required to apply in Electronic Residency Application Service (ERAS?) for full deferment to a civilian residency program or a civilian preliminary year program. HPSP students may be eligible for reimbursement of ERAS? fees and must contact the accessions HPSP program manager for guidance on obtaining reimbursement. Applicants selected for FTIS training must contact the National Residency Match Program (NRMP) and withdraw their application for the civilian match no later than 31 December 2019. Medical students who fail to apply for Navy GME via the MODS application may be placed in a leave without pay status and required to apply for Navy GME the next AY. Those who fail to apply for Navy sponsored GME training are not authorized to apply for or begin GME training in a civilian program.

c. USUHS students are guaranteed by law and contractual agreement to be placed in a FTIS program for their preliminary year of GME training. USUHS students may apply for full deferment in the NADDS program on a case-by-case basis. Selection to in-service programs will have priority over selection and placement into NADDS. USUHS students who apply for and are selected to the NADDS program will be superseded to the rank of lieutenant and be transferred to the Individual Ready Reserve (IRR). Failure to select in a civilian program does not guarantee a FTIS training opportunity. While in NADDS, trainees are not eligible for military pay and allowances. USUHS students requesting a NADDS program must inform the Navy GME Program Director of their intent via e-mail at usn.bethesda.navmedprodevctrmd.list. nmpdc-gme-sb@mail.mil, no later than 15 October 2019.

d. PGY-2+ applicants who are applying for FTOS or release from active duty to NADDS must also apply in ERAS? to secure a match in a civilian program. Navy GME is not authorized to reimburse costs associated with matching or interviews for ERAS? applications at the PGY-2+ level.

e. Applicants for civilian fellowships that require a 12 to 18 month lead time to interview and compete in the NMRP may apply to the 2019 JSGMESB for FTOS or release from active duty to NADDS to enter the NADDS program beginning in AY-21 and AY-22. Applicants must

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communicate their desire for a pre-selection for AY-21 or AY-22 to their specialty leader. Applicants must indicate the required lead time, whether the program requires the trainee to obtain a post-secondary degree (e.g., Master's in Public Health) while participating in the program, and the estimated cost to obtain the required degree. Applicants for release from active duty to NADDS must meet eligibility requirements per reference (b). While in NADDS or release from active duty to NADDS, trainees are transferred to the IRR, and are not eligible for military pay and allowances. Upon completion of training, graduates are transferred back to active duty to fulfill their service obligation.

f. Applicants to the residency in aerospace medicine who do not hold an FS designation must also be eligible for selection to FS training. Additional obligated service may be incurred for training that leads to designation as a naval flight surgeon.

g. Applications for a second clinical residency will be closely scrutinized by both Navy specialty committees and the Navy JSGMESB to determine if the needs of the Navy can best be served by encumbering training billets for individuals to train in a second specialty. Applicants must provide correspondence to illustrate that current specialty leader is aware of the application for a second residency via e-mail to usn.bethesda.navmedprodevctrmd.list.nmpdc-gmesb@mail.mil, by 15 September 2019.

h. Pre-selection requests for FTIS fellowships will be considered on a case-by-case basis.

i. Applicants selected for a GME program by a previous JSGMESB will forfeit their selection if they apply to the 2019 JSGMESB. Waivers will not be granted for this requirement.

j. Information about Navy GME programs can be obtained from individual program directors, specialty leaders, and the command Web site where the GME training is sponsored.

k. All GME training conducted in the National Capital Area under the National Capital Consortium is considered to be FTIS.

7. Selection Process

a. Precept. The Navy GMESB is an administrative board governed by a formal precept published by Chief, BUMED. The precept appoints the board president (a Medical Corps flag officer), voting members comprised of senior Medical Corps officers representing broad diversity of the Navy Medical Corps, board recorders, and advisors. In addition, the selection board precept provides guidance for selecting applicants who have applied for Navy-sponsored GME and establishes the selection goals by specialty for AY-20 and pre-selection goals for AY- 21 and AY-22.

b. Joint Service Panels. Joint Service panels for PGY-2+ applications, comprised of program directors, specialty leaders, and consultants from Navy, Army, and Air Force, review applicant records and score Tri-Service applications in their specialty. Each application is scored

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